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Ultrasound Introduction Courses

Introduction to Venous Evaluation

This module serves as an introduction to the use of venous ultrasound in the vein center offering treatment to patient's suffering from chronic venous insufficiency. For the sonographer new to this setting, the knowledge and skill set is different from many settings. These courses are aimed to provide a basic overview of the skills and knowledge required. Included are:

Original Release: February 01, 2019 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation. Each activity must be completed to allow navigation to the next stage.

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 6.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Course Authors

Personnel Profile

John Mauriello, MD, FACPh

Dr. Mauriello has been practicing Phlebology for more than 28 years and quite simply, is one of the founders of modern phlebology. He is internationally renowned for his expertise in the diagnosis and treatment of venous disease and has pioneered many of the treatments used today. He was past President of the American College of Phlebology ("ACP") from 2011-2012 and for decades he has lectured regularly throughout the United States and the world. Vein Magazine acknowledged him as one of the 25 most influential venous professionals in the world.

Personnel Profile

Jean Melendez (White), RVT, RPhS, FSVU

Jeannie is nationally recognized as one of the premier experts in venous disease, is a frequent lecturer nationally and internationally, and served as the Ultrasound Section chair for the 2014 American College of Phlebology Annual Congress. She served as Technical Director of the Vascular Laboratory at Cranley Surgical Associates in Cincinnati, Ohio for 10 years prior to relocating to Florida in 1999 and formed Quality Vascular Imaging in 2000. She brought with her a love for veins and has shared that passion with everyone she encounters.

Personnel Profile

Bill Schroedter, BS, RVT, RPhS, FSVU

Bill has over 30 years’ experience in the field of ultrasound and teaches extensively throughout the country. He has authored dozens of publications, participated in numerous clinical trials, has been an invited speaker, nationally and internationally, and was honored as the International Keynote Speaker for the 2013 Australasian Sonographer Association Annual Conference in Sydney, Australia. Bill served on the Society of Vascular Ultrasound (“SVU”) Board of Directors and was SVU Vice President.

Renal Anatomy, Physiology, and the Duplex Ultrasound Examination

Course Description: Beginning with the anatomy, this presentation also covers basic renal physiology which demonstrates the rationale for accurate evaluation in patients suspected of renal dysfunction. Tips and techniques for proper data acquisition, which often prove difficult in this exam, are covered in some detail. Criteria for diagnosis of significant renal artery stenosis, including gray scale imaging, color flow Doppler and especially spectral Doppler are discussed in detail.

Course Objectives

Learn the anatomy of the renal vasculature and the kidney

Review basic renal physiology

List the indications for a duplex evaluation of the renal arteries

Explain the technique for acquiring quality data

Review the Doppler ultrasound criteria for disease classification

Total Estimated time for Course Completion: 55" CME: 1.0 hours

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: February 1, 2019 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

$15.00

Rated:

5

Bill Schroedter

Additional Suggested Courses:

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Bill Schroedter, BS, RVT, RPhS, FSVU

Bill has over 30 years’ experience in the field of ultrasound and teaches extensively throughout the country. He has authored dozens of publications, participated in numerous clinical trials, has been an invited speaker, nationally and internationally, and was honored as the International Keynote Speaker for the 2013 Australasian Sonographer Association Annual Conference in Sydney, Australia. Bill served on the Society of Vascular Ultrasound (“SVU”) Board of Directors and was SVU Vice President.

Vascular Sonography Module

This module includes a number of basic vascular courses covering a variety of topics in vascular ultrasound. These include some background information on testing that is done routinely as well as some "how to" information on testing that the typical vascular sonographer may not perform regularly.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 7.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Course Authors

Personnel Profile

Ann Marie Kupinski, RVT, RDMS, FSVU, PhD,

Ann Marie Kupinski is the president and co-technical director of North Country Vascular Diagnostics located in Capital District Region of New York. She is also a Clinical Associate Professor of Radiology at Albany Medical College in Albany, New York. Ann Marie is a member of the Society of Diagnostic Medical Sonography, a senior member of the American Institute of Ultrasound in Medicine, and a fellow of the Society for Vascular Ultrasound. She has served on the Society for Vascular Ultrasound’s board of directors. She is a current member of board of directors for the Intersocietal Accre

Personnel Profile

Jean Melendez (White), RVT, RPhS, FSVU

Jeannie is nationally recognized as one of the premier experts in venous disease, is a frequent lecturer nationally and internationally, and served as the Ultrasound Section chair for the 2014 American College of Phlebology Annual Congress. She served as Technical Director of the Vascular Laboratory at Cranley Surgical Associates in Cincinnati, Ohio for 10 years prior to relocating to Florida in 1999 and formed Quality Vascular Imaging in 2000. She brought with her a love for veins and has shared that passion with everyone she encounters.

Personnel Profile

Bill Schroedter, BS, RVT, RPhS, FSVU

Bill has over 30 years’ experience in the field of ultrasound and teaches extensively throughout the country. He has authored dozens of publications, participated in numerous clinical trials, has been an invited speaker, nationally and internationally, and was honored as the International Keynote Speaker for the 2013 Australasian Sonographer Association Annual Conference in Sydney, Australia. Bill served on the Society of Vascular Ultrasound (“SVU”) Board of Directors and was SVU Vice President.

Ultrasound is an essential component within a Vein Center. Many of today's treatment options for patients suffering from chronic venous disease cannot be accomplished without high quality ultrasound. The required sonography knowledge base is a hybrid of basic ultrasound knowledge and skills coupled with additional requirements specific to the treatment options. The lower extremity venous anatomy is highly variable and thorough knowledge of the venous anatomy is a necessity. Given that the goal of any treatment is to improve venous system dysfunction and correct venous hypertension, understanding the basic hemodynamics of the venous system is critical to correct interpretation of the ultrasound data and optimization of the treatment plan. Consideration of these factors is necessary to ensure the proper treatment plan is implemented and patient outcomes are improved.

Describe the role of the sonographer during endovenous thermal and chemical ablation procedures

Assess the patient for complications post ablation

Original Release: May 01, 2018 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation. Each activity must be completed to allow navigation to the next stage.

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

$300.00

Rated:

4.727275

John Mauriello

Additional Suggested Courses:

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 12.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Course Authors

Personnel Profile

John Mauriello, MD, FACPh

Dr. Mauriello has been practicing Phlebology for more than 28 years and quite simply, is one of the founders of modern phlebology. He is internationally renowned for his expertise in the diagnosis and treatment of venous disease and has pioneered many of the treatments used today. He was past President of the American College of Phlebology ("ACP") from 2011-2012 and for decades he has lectured regularly throughout the United States and the world. Vein Magazine acknowledged him as one of the 25 most influential venous professionals in the world.

Personnel Profile

Jean Melendez (White), RVT, RPhS, FSVU

Jeannie is nationally recognized as one of the premier experts in venous disease, is a frequent lecturer nationally and internationally, and served as the Ultrasound Section chair for the 2014 American College of Phlebology Annual Congress. She served as Technical Director of the Vascular Laboratory at Cranley Surgical Associates in Cincinnati, Ohio for 10 years prior to relocating to Florida in 1999 and formed Quality Vascular Imaging in 2000. She brought with her a love for veins and has shared that passion with everyone she encounters.

Personnel Profile

Bill Schroedter, BS, RVT, RPhS, FSVU

Bill has over 30 years’ experience in the field of ultrasound and teaches extensively throughout the country. He has authored dozens of publications, participated in numerous clinical trials, has been an invited speaker, nationally and internationally, and was honored as the International Keynote Speaker for the 2013 Australasian Sonographer Association Annual Conference in Sydney, Australia. Bill served on the Society of Vascular Ultrasound (“SVU”) Board of Directors and was SVU Vice President.

Venous Anatomy, Physiology, Pathophysiology and CEAP Classification

This presentation provides an overview of the superficial and deep venous anatomy and how the system works to accommodate venous return from the lower extremity. A basic review of hemodynamics is covered with special emphasis on the function and importance of the various muscle pumps and coupled with the venous valves allow the system to accomplish its primary fnction of returning blood to the heart. The pathophysiology of venous system dysfunction is highlighted allowing the student to understand what is happening in a patient presenting with chronic venous disease. Finally, you will be able to accurately classify the degree of chronic venous disease of your patients using the CEAP classification is presented. References in support of statements made and for further study are provided throughout the presentation.

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation.

After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: August 28, 2015 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

John Mauriello, MD, FACPh

Dr. Mauriello has been practicing Phlebology for more than 28 years and quite simply, is one of the founders of modern phlebology. He is internationally renowned for his expertise in the diagnosis and treatment of venous disease and has pioneered many of the treatments used today. He was past President of the American College of Phlebology ("ACP") from 2011-2012 and for decades he has lectured regularly throughout the United States and the world. Vein Magazine acknowledged him as one of the 25 most influential venous professionals in the world.

Venous Duplex Ultrasound: Pre, Peri, and Post Treatment

This presentation provides an overview of the fundamentals of the ultrasound component within a vein center. Beginning with a venous insufficiency duplex ultrasound exam, we guide the student with the general principles of the initial diagnostic aspect, arguable the critical piece of the vein center. We continue with the requirements for ultrasound guidance during thermal and chemical ablation procedures, and finally the ultrasound evaluation following those interventional procedures. While not overly detailed in any aspect, this is designed to give the student a broad idea of the nuances involved. If you are new to the vein center or are not sure what you are doing is completely up to date, this is a great course on which to begin a solid foundation.

Objectives

Describe the role of the sonographer during endovenous thermal and chemical ablation procedures

Assess the patient for complications post ablation

Estimated time for Course Completion: 88" CME: 1.5 hours

This program is intended for physicians, sonographers, or other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering this topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: August 1, 2015 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Jean Melendez (White), RVT, RPhS, FSVU

Jeannie is nationally recognized as one of the premier experts in venous disease, is a frequent lecturer nationally and internationally, and served as the Ultrasound Section chair for the 2014 American College of Phlebology Annual Congress. She served as Technical Director of the Vascular Laboratory at Cranley Surgical Associates in Cincinnati, Ohio for 10 years prior to relocating to Florida in 1999 and formed Quality Vascular Imaging in 2000. She brought with her a love for veins and has shared that passion with everyone she encounters.

Personnel Profile

Bill Schroedter, BS, RVT, RPhS, FSVU

Bill has over 30 years’ experience in the field of ultrasound and teaches extensively throughout the country. He has authored dozens of publications, participated in numerous clinical trials, has been an invited speaker, nationally and internationally, and was honored as the International Keynote Speaker for the 2013 Australasian Sonographer Association Annual Conference in Sydney, Australia. Bill served on the Society of Vascular Ultrasound (“SVU”) Board of Directors and was SVU Vice President.

Ultrasound Evaluation of the Lower Extremity Following Venous Intervention

Performing a lower extremity duplex ultrasound following venous intervention is a common examination in most vein centers. Specifically, this examination in the context of the patient undergoing thermal and chemical ablation, ambulatory phlebectomy, as well as ligation and harvest or stripping of the truncal veins are addressed. These patients are evaluated for a number of reasons which will be reviewed. In particular, the adverse outcomes, their incidence of occurrence, how to recognize and report them will be covered in some detail. Finally, some time is spent on how to evaluate or gauge improvement of the patient as a result of that intervention.

Objectives

• Review guidelines for following patients with US after venous intervention

• Learn the incidence of adverse complications following EVTA and chemical ablation

• Consider venous system hemodynamics as an indicator of successful treatment

Estimated Time Required for Course Completion: 38" CME: 0.5 hours

Original Date of Release: September 01, 2016 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Bill Schroedter, BS, RVT, RPhS, FSVU

Bill has over 30 years’ experience in the field of ultrasound and teaches extensively throughout the country. He has authored dozens of publications, participated in numerous clinical trials, has been an invited speaker, nationally and internationally, and was honored as the International Keynote Speaker for the 2013 Australasian Sonographer Association Annual Conference in Sydney, Australia. Bill served on the Society of Vascular Ultrasound (“SVU”) Board of Directors and was SVU Vice President.

Upper Extremity Veins

Course Description: This presentation will begin with a review of the pathology of upper extremity venous thrombosis. The differences between upper and lower extremity veins and venous disease will also be discussed. The pertinent anatomy will be reviewed. It will describe the ultrasound techniques used and the essential images that should be obtained. Normal and abnormal grayscale and spectral Doppler parameters will be reviewed.

Objectives

List the essential components to an upper extremity venous ultrasound

Describe the differences between upper and lower extremity venous disease

Identify normal and abnormal imaging and Doppler findings.

Estimated Time Required for Course Completion: 59" CME: 1.0 hours

Original Release: September 01, 2017 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

$25.00

Rated:

5

Ann Marie Kupinski

Additional Suggested Courses:

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Ann Marie Kupinski, RVT, RDMS, FSVU, PhD,

Ann Marie Kupinski is the president and co-technical director of North Country Vascular Diagnostics located in Capital District Region of New York. She is also a Clinical Associate Professor of Radiology at Albany Medical College in Albany, New York. Ann Marie is a member of the Society of Diagnostic Medical Sonography, a senior member of the American Institute of Ultrasound in Medicine, and a fellow of the Society for Vascular Ultrasound. She has served on the Society for Vascular Ultrasound’s board of directors. She is a current member of board of directors for the Intersocietal Accre

Dialysis Access Grafts and Fistulae

Course Description: This presentation will begin with a review of the different types of surgically created hemodialysis access grafts and fistulae. It will describe the ultrasound techniques used and the essential images that should be obtained. The calculation of volume flow and its importance to determining access outcome will be discussed. Normal and abnormal grayscale and spectral Doppler parameters will be reviewed. Five cases will also be presented which illustrate the common pathology observed with dialysis access grafts and fistulae.

Objectives

Describe the types of hemodialysis access grafts and fistulae

List the essential components to a dialysis access ultrasound

Define the normal ultrasound characteristics of a dialysis graft or fistula

Original Release: September 13, 2016 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

$20.00

Rated:

4.857145

Ann Marie Kupinski

Additional Suggested Courses:

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Ann Marie Kupinski, RVT, RDMS, FSVU, PhD,

Ann Marie Kupinski is the president and co-technical director of North Country Vascular Diagnostics located in Capital District Region of New York. She is also a Clinical Associate Professor of Radiology at Albany Medical College in Albany, New York. Ann Marie is a member of the Society of Diagnostic Medical Sonography, a senior member of the American Institute of Ultrasound in Medicine, and a fellow of the Society for Vascular Ultrasound. She has served on the Society for Vascular Ultrasound’s board of directors. She is a current member of board of directors for the Intersocietal Accre

Arterial Stenosis - Let the Waveforms Guide You

Course Description: This presentation reviews the use of duplex ultrasound in the evaluation of the arterial system. While most of the validated data for categorizing normalcy versus disease is based on calculation of Doppler derived velocities, there is much useful information contained in the Doppler spectral analysis waveform. The background of using Doppler ultrasound for categorizing disease is reviewed but quickly moves to other waveform features that are useful in the performance and interpretation of these examinations. Spectral waveform morphology and various parameters are explained. Focus is placed on how this information helps clinically.

Course Objectives

• Describe various audible Doppler signals with varied disease states

• Review background on the development of Doppler ultrasound criteria for disease classification

• Learn what additional elements of the Doppler waveform can be useful clinically

• Describe various spectral Doppler waveform parameters and how they vary with disease states

Estimated Time Required for Course Completion: 45" CME: 0.75 hours

Original Release: September 01, 2016 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Bill Schroedter, BS, RVT, RPhS, FSVU

Bill has over 30 years’ experience in the field of ultrasound and teaches extensively throughout the country. He has authored dozens of publications, participated in numerous clinical trials, has been an invited speaker, nationally and internationally, and was honored as the International Keynote Speaker for the 2013 Australasian Sonographer Association Annual Conference in Sydney, Australia. Bill served on the Society of Vascular Ultrasound (“SVU”) Board of Directors and was SVU Vice President.

Course Description: One our our most popular non-venous courses, this presentation covers the variety of different validated criteria for categorizing disease in the extracranial carotid arteries with duplex ultrasound. Additionally, the clinical course of these patients typically follows recomenedations as a result of various clincial trials and these studies utilize not only different imaging technologies but varied measurement methodologies as well. First, in order to successfully apply any criteria, the sonographer must know what criteria are used, how they were developed and any caveats or other considerations necessary for their application. Secondly, to effectively perform quality assurance and comparison of the duplex ultrasound with another modality, a basic understanding of the imaging technology one uses as the gold standard is required. Depending upon the technology, various measurement methodologies are typically employed and these are covered in some detail. Finally, data regarding the accuracies of all the various methods are included.

Objectives

Review diagnostic criteria for categorizing carotid artery stenosis

Learn the background and nuances of various important studies dealing with carotid artery disease classification

Understand the different measurement methodologies used with varying technologies

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation.

After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Review: May 01,2016 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Bill Schroedter, BS, RVT, RPhS, FSVU

Bill has over 30 years’ experience in the field of ultrasound and teaches extensively throughout the country. He has authored dozens of publications, participated in numerous clinical trials, has been an invited speaker, nationally and internationally, and was honored as the International Keynote Speaker for the 2013 Australasian Sonographer Association Annual Conference in Sydney, Australia. Bill served on the Society of Vascular Ultrasound (“SVU”) Board of Directors and was SVU Vice President.

Why Duplex Derived Reflux Times Do NOT Correlate with Disease Severity

Course Overview – There remains significant confusion within the vascular community about duplex derived reflux times. We have largely reached a consensus on retrograde flow of greater than 0.5 seconds within a superficial vein or >1.0 seconds in the deep venous system in a standing patient as being pathologic. Intuitively it would seem that the more severe the disease becomes, the duration of retrograde flow would increase however this is not the case and in this presentation, we will explain why. Additionally, we provide an overview of venous hemodynamics in order to understand why reflux times do NOT correlate with disease severity. If we cannot use the reflux duration, how then might we classify the severity of chronic venous disease in a patient? To answer that question, we will present a brief literature review and explanation of the tools that can be used towards that goal.

Objectives

Create a thought paradigm for how the lower extremity venous system works.

Identify what is required for reflux to occur

Consider the role of the reservoir, the refluxing segment and the pool

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation.

After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Review: October 14,2016 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Bill Schroedter, BS, RVT, RPhS, FSVU

Bill has over 30 years’ experience in the field of ultrasound and teaches extensively throughout the country. He has authored dozens of publications, participated in numerous clinical trials, has been an invited speaker, nationally and internationally, and was honored as the International Keynote Speaker for the 2013 Australasian Sonographer Association Annual Conference in Sydney, Australia. Bill served on the Society of Vascular Ultrasound (“SVU”) Board of Directors and was SVU Vice President.

Calf Vein Evaluation

Duplex ultrasound evaluation of the calf veins can be challenging even for the experienced sonographer. The presentation begins with a review of the guidelines regarding the necessity of including these vessels in all venous studies and reviews the pertinent literature for the rationale. It then covers thoroughly standard as well as variant anatomy of the veins of the calf, including the superficial veins and perforating veins. However most emphasis is on the deep veins including the tibial, peroneal, gastrocnemius and soleal veins as well as how to identify and evaluate them properly with ultrasound. The techniques, especially patient positioning is covered. Tips for evaluating the difficult patient are also included. The author has performed diagnostic ultrasound for more than 35 years, teaches extensively throughout the US and internationally and has no relevant financial disclosures.

Course Objectives

Learn the evidence based rationale for calf vein evaluation

Learn the incidence of isolated calf vein thrombosis

Understand the complex venous and muscular anatomy of the calf

Understand the role of calf veins in the venous muscle pump

Acquire proper techniques for duplex ultrasound calf vein evaluation

Learn how to recognize calf vein pathology

Total Estimated time for Course Completion: 60" CME hours: 1.0

This program is intended for physicians, sonographers, or other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: September 8, 2015 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Bill Schroedter, BS, RVT, RPhS, FSVU

Bill has over 30 years’ experience in the field of ultrasound and teaches extensively throughout the country. He has authored dozens of publications, participated in numerous clinical trials, has been an invited speaker, nationally and internationally, and was honored as the International Keynote Speaker for the 2013 Australasian Sonographer Association Annual Conference in Sydney, Australia. Bill served on the Society of Vascular Ultrasound (“SVU”) Board of Directors and was SVU Vice President.

What does this knob do for my image?

This highly practical presentation ties basic ultrasound physics to the duplex scanner controls that impact and govern those principles. Presented is a basic overview of the primary physical principles that ultimately determine what is visualized on an ultrasound image and how adjustments affect the ultrasound image to not only its optimization but potential detriment if not utilized correctly.

Objectives

Identify which knobs are frequently used for enhancing the 2D image, color Doppler, and pulsed Doppler during a venous duplex examination

Describe the adjustments made to optimize the image and color/Doppler

Explain what happens to the 2D image, color Doppler, and pulsed Doppler when adjusting the settings

Total Estimated Time Required for Completion: 31" CME: 0.5 hours

This program is intended for physicians, vascular sonographers, nurses, and other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering the topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim the credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: August 28, 2015 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Jean Melendez (White), RVT, RPhS, FSVU

Jeannie is nationally recognized as one of the premier experts in venous disease, is a frequent lecturer nationally and internationally, and served as the Ultrasound Section chair for the 2014 American College of Phlebology Annual Congress. She served as Technical Director of the Vascular Laboratory at Cranley Surgical Associates in Cincinnati, Ohio for 10 years prior to relocating to Florida in 1999 and formed Quality Vascular Imaging in 2000. She brought with her a love for veins and has shared that passion with everyone she encounters.

Don't forget the lower extremity deep venous system!

This course is designed to provide an understanding of the importance of scanning the deep venous system despite a clinical presentation of superficial venous disease. This presentation will begin with an anatomical review of the deep venous system and common ultrasound terminology. The importance of using greyscale will be reviewed as well as when to use color Doppler. You will learn how to perform a venous duplex of the lower extremity with a concentration of the deep system. Finally, we will present a few case studies to demonstrate who this may be used in clinical practice.

Objectives

Describe common ultrasound terminology

Explain the importance of using greyscale

Describe how to perform a venous duplex of the lower extremities focusing on the deep and perforator system

Identify when Color Doppler is helpful

Identify when Spectral analysis/Doppler is helpful

Total Estimated Time Required for Completion: 75" CME: 1.25 hours

This program is intended for physicians, sonographers, or other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering this topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: August 1, 2015 Reviewed: September 9, 2019 Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Jean Melendez (White), RVT, RPhS, FSVU

Jeannie is nationally recognized as one of the premier experts in venous disease, is a frequent lecturer nationally and internationally, and served as the Ultrasound Section chair for the 2014 American College of Phlebology Annual Congress. She served as Technical Director of the Vascular Laboratory at Cranley Surgical Associates in Cincinnati, Ohio for 10 years prior to relocating to Florida in 1999 and formed Quality Vascular Imaging in 2000. She brought with her a love for veins and has shared that passion with everyone she encounters.

Basic Function and Hemodynamics of the Lower Extremity Venous System

In order to perform an adequate duplex ultrasound evaluation for venous insufficiency, an understanding of venous hemodynamics is critical. This presentation provides solid overview of venous hemodynamics from the perspective of duplex evaluation. Anatomy forms the basis of hemodynamic function, particularly with regards to the various tissue and muscular compartments and this topic is reviewed. Hemodynamic principles such as flow and pressure relationships are covered in some detail including dynamic and hydrostatic pressure. Venous valves, various muscular pumps, and anatomic relationships and how these factors work together to overcome gravity as also discussed.

Distinguish the difference between dynamic and hydrostatic pressure and their relationships

Learn venous valve function

Appreciate the role of the muscular pumps in lower extremity venous return

Review the physiologic impact of system dysfunction

Estimated Time for Course Completion: 75" CME: 1.25 hours

This program is intended for physicians, sonographers, or other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering this topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: August 1, 2015 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Bill Schroedter, BS, RVT, RPhS, FSVU

Bill has over 30 years’ experience in the field of ultrasound and teaches extensively throughout the country. He has authored dozens of publications, participated in numerous clinical trials, has been an invited speaker, nationally and internationally, and was honored as the International Keynote Speaker for the 2013 Australasian Sonographer Association Annual Conference in Sydney, Australia. Bill served on the Society of Vascular Ultrasound (“SVU”) Board of Directors and was SVU Vice President.

Imaging of Perforating Veins: Anatomy, Function and Technical Tips

This presentation will begin with an anatomical review of the perforating veins. We demonstrate a number of examples of perforating veins with an emphasis of how to successfully demonstrate these challenging vessels with duplex ultrasound. Much time is spent on the hemodynamics of perforating veins and how they function in the lower extremity venous system. We thoroughly review the literature with regards to efficacy of treatments. ( Note: this topic is also covered in the presentation entitled, Imaging of Accessory Veins, the Small Saphenous Vein, and Perforating Veins: Technical Tips and Duplex Predictors of Benefit from Intervention. However, more detailed information specific to perforating veins is contained here. It would generally not be recommended to take this course AND the combined presentation. Running Time:40" CME - 0.75 hours

Objectives

Provide an anatomical overview

Learn correct terminology

Consider the role of perforating veins in venous hemodynamics

Review the history of perforating vein treatment

Contemplate the potential risks and benefits from treatment of these vessels

Total Estimated Time for Course Completion: 45" CME: 0.75 hours

This program is intended for physicians, sonographers, or other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering this topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: August 1, 2015 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 20, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Bill Schroedter, BS, RVT, RPhS, FSVU

Bill has over 30 years’ experience in the field of ultrasound and teaches extensively throughout the country. He has authored dozens of publications, participated in numerous clinical trials, has been an invited speaker, nationally and internationally, and was honored as the International Keynote Speaker for the 2013 Australasian Sonographer Association Annual Conference in Sydney, Australia. Bill served on the Society of Vascular Ultrasound (“SVU”) Board of Directors and was SVU Vice President.

Accessory Veins: Anatomy, Terminology, and Technical Tips

This presentation will begin with an anatomical review of accessory saphenous veins and how to differentiate these vessels from tributaries. A thorough knowledge of anatomy is the critical if one is to successfully evaluate these vessels. We demonstrate a number of examples of accessory saphenous veins with an emphasis of how to successfully demonstrate these challenging vessels with duplex ultrasound. The hemodynamics of accessory saphenous veins and their role in in the lower extremity venous system function is covered. Finally, we review the efficacy and potential benefit with regards to the treatment of these vessels. (Note: this topic is also covered in the presentation entitled, Imaging of Accessory Veins, the Small Saphenous Vein, and Perforating Veins. However, more detailed information specific to accessory saphenous veins is contained here. However, it would generally not be recommended to take this course AND the combined presentation.)

Objectives

Provide an anatomical overview

Learn correct terminology

Learn how to differentiate accessory saphenous veins from the great saphenous vein

Consider the role of accessory veins in venous insufficiency

Contemplate the potential risks and benefits from treatment of these vessels

Estimated time for Course Completion: 35" CME: 0.5 hours

This program is intended for physicians, sonographers, or other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering this topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: August 1, 2015 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Bill Schroedter, BS, RVT, RPhS, FSVU

Bill has over 30 years’ experience in the field of ultrasound and teaches extensively throughout the country. He has authored dozens of publications, participated in numerous clinical trials, has been an invited speaker, nationally and internationally, and was honored as the International Keynote Speaker for the 2013 Australasian Sonographer Association Annual Conference in Sydney, Australia. Bill served on the Society of Vascular Ultrasound (“SVU”) Board of Directors and was SVU Vice President.

The Small Saphenous Vein: Anatomy, Imaging Tips and Interventional Considerations

This presentation will begin with an anatomical review of the small saphenous vein, in particular its termination. A thorough knowledge of anatomy is the critical if one is to successfully evaluate these vessels. The hemodynamics of small saphenous veins and their role in in the lower extremity venous system function is covered. Finally, we review the efficacy and potential benefit with regards to the treatment of these vessels. Importantly, we also thoroughly review the potential pitfalls when treating these truncal veins, including the increased risk of impacting adjacent nerves. (Note: this topic is also covered in the presentation entitled, Imaging of Accessory Veins, the Small Saphenous Vein, and Perforating Veins: Technical Tips and Duplex Predictors of Benefit from Intervention. However, more detailed information specific to the small saphenous vein is contained here. It would generally not be recommended to take this course AND the combined presentation.)

Objectives:

Provide an anatomical overview

Learn correct terminology

Learn the variations of SSV termination

Consider the role of the SSV in venous insufficiency

Review the adjacent nerves that are potentially impacted during intervention

Contemplate the potential risks and benefits from treatment of this vessel

Estimated time for Course Completion: 46" CME: 0.75 hours

This program is intended for physicians, sonographers, or other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering this topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: August 1, 2015 Reviewed: September 1, 2019 Termination Date for Completion of CME Credit: September 30, 2020

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Bill Schroedter, BS, RVT, RPhS, FSVU

Bill has over 30 years’ experience in the field of ultrasound and teaches extensively throughout the country. He has authored dozens of publications, participated in numerous clinical trials, has been an invited speaker, nationally and internationally, and was honored as the International Keynote Speaker for the 2013 Australasian Sonographer Association Annual Conference in Sydney, Australia. Bill served on the Society of Vascular Ultrasound (“SVU”) Board of Directors and was SVU Vice President.

Ankle Brachial Index for the Phlebologist

This course is designed to provide an understanding of one of the most useful patient assessments in medical practice – the ankle brachial index (ABI). Many patients seek consultation at a vein center for a variety of leg symptoms. While symptoms of venous disease are typically quite diverse for those resulting from arterial disease, some patients may have either confusing or atypical symptoms. Others may in fact suffer from both venous and arterial disease. Beginning with an overview of arterial anatomy, this presentation will explain how to perform an arterial focused history and physical exam which may by itself conform or rule out significant arterial disease. The ABI is a rapid and highly accurate method for determining the presence and relative severity of significant arterial disease. You will learn different methods commonly used to measure ankle pressure, how to calculate an ankle brachial index and diagnostic criteria for interpreting those values. Various caveats and pitfalls will also be discussed. Finally, we will present a few case studies to demonstrate how this may be used in clinical practice.

Objectives

Review the arterial anatomy and elements of a history and physical exam specific to the detection of peripheral arterial disease

This program is intended for physicians, sonographers, or other allied health professionals. There was no commercial support for this educational product and the author and planning committee have nothing to disclose pertinent to this presentation. After viewing this video presentation covering this topic, the participant will be directed to take a quiz testing the knowledge gained. Successful completion with a score of 70% or greater allows access to a course evaluation and finally claiming Continuing Medical Education credit for this activity. Physicians should only claim credit commensurate with the extent of their participation however each activity must be completed to allow navigation to the next stage.

Original Date of Release: August 1, 2015 Reviewed: May 20, 2020 Termination Date for Completion of CME Credit: June 1, 2021

System Requirements: In order to view this program, you must have a recent internet browser and a video player capable of viewing industry standard MP-4 video. High speed internet connection is recommended. You will also need the ability to view and print PDF files in order to obtain your CME certificate.

Course Tabs

CME Information

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of Albany Medical College and North Country Vascular Diagnostics. Albany Medical College is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Albany Medical College designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Personnel Profile

Bill Schroedter, BS, RVT, RPhS, FSVU

Bill has over 30 years’ experience in the field of ultrasound and teaches extensively throughout the country. He has authored dozens of publications, participated in numerous clinical trials, has been an invited speaker, nationally and internationally, and was honored as the International Keynote Speaker for the 2013 Australasian Sonographer Association Annual Conference in Sydney, Australia. Bill served on the Society of Vascular Ultrasound (“SVU”) Board of Directors and was SVU Vice President.